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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA9?70? <br />l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4\ 647 -5853 <br />Plumbing Permit #: 30140,421 <br />Pin #: 5458,4 <br />Project Address: 1302 E Seventeenth St <br />Assessor'sParcel: 400-231-01 Lot. NA <br />Un:B <br />Elock: NA <br />Bldg: <br />Tract NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: C/a <br />Phone <br />Tenant Name: Jamba Juice <br />RGA Group <br />3308 Apolena Ave <br />Newporl Beach, CA 92552 <br />Gary Maddox Construction I <br />10133 Meadow Glen Way <br />E3condido, CA 92025 <br />(909) 262-s445 <br />Owner: <br />Addressl <br />Contractor <br />Address: <br />01't16002 <br />011 t6002 <br />01116002 <br />01116002 <br />01116002 <br />011'16002 <br />01116002 <br />01116002 <br />011'16002 <br />5160i <br />5't 60i <br />51602 <br />5160i <br />51602 <br />5160i <br />5360i <br />5160C <br />5't60i <br />Qty <br />1.00 <br />4.00 <br />4.00 <br />5.00 <br />1.00 <br />2.00 <br />385.93 <br />1.00 <br />1.00 <br />Fee <br />$14.22 <br />$50.80 <br />$64. s6 <br />$80.70 <br />$44.51 <br />$1 31 .14 <br />$250.85 <br />$22.08 <br />$55.04Phone <br />Fee Typo Amount <br />Water Closet '14.22 <br />Sink 12.70 <br />Floor Orain '16.14 <br />Floor Sink 16.14 <br />Gas System 14 44.51 <br />Tankless Water Heater 65.57 <br />Ptc - 650k 0.65 <br />General Plan Update 22.Oa <br />lssuance 55.04 <br />Slate Lic #: 598667 <br />Lic Type: B <br />Bus. Lic #: 311232 <br />Workers' Compensation lnsurance:Carrier: APPLIED UNDERWRITERS CAPTIVE RISK ASSURANCE COMPAN <br />Policy r: /164141520103 <br />Expires: O1lO1l2O2O <br />h+ <br />ce <br />Building Use: <br />Job Type. <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked 8y: <br />Permil lssued By: <br />Subjecl to Field: <br />Commercial <br />Tenant lmprovement <br />TI <br />CSG Consulta <br />Zuniga, Allissa <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />V B, SPK <br />cPc 2016 Notes: lnterior Tl lor now Jamba Juice <br />s Dale: <br />Dale: <br />Dale: <br />03/04,2019 <br />o3t2612019 <br />Account# <br />Misc. Receipt: 71965 <br />Misc. Receipt: <br />Misc. Receipl: <br />Total <br />Building Permit #: 10198696 <br />Ewry pemt issued shall becime invalid unless the wo* on the site <br />authoized by such pemit is codnenced wilhin 180 days aftet its <br />issuanco, or il the viot* authotizod on the site by such Nrfiit is suspendad <br />ot abandoned lot a peiod ol 1 80 days afret the time the wo* is <br />cgmnan@d. <br />lnspector MID#: 2018-148320 <br />011'16002 51600 <br />01116002 51602 <br />$22.08 <br />$440.97 <br />Fee Total <br />Paid to Date: <br />Balanco Due: <br />t, <br />$713.90 <br />$250.85 <br />s463.05